REAL EXAM 450 BEST QUESTIONS AND
ACCURATE DETAILED ANSWERS
ALREADY (VERIFIED BY GRADE A
EXPERTS)
What is the purpose of HIPAA? - ANSWER-
• To make health insurance portable under ERISA;
• To prevent fraud, waste and abuse
• To move health care onto a nationally standardized electronic billing platform.
Which new regulation corrected shot comings of the HIPAA 2000 regulation concerning
BAs? - ANSWER- Health Information Technology
for Economic and Clinical Health (HITECH)
Who is now responsible for privacy and security of BAs? - ANSWER- The Business
Associate, legal liability for violations, and possible penalties, flow directly to the entity
that violates.
What nine transaction are used to determine if an organization is a CE? - ANSWER- •
Health claims or equivalent encounter
information
• Health claims attachments
,• Enrollment and disenrollment in a health plan
• Eligibility for a health plan
• Health care payment and remittance advice
• Health plan premium payments
• First report of injury
• Health claim status
• Referral certification and authorization
What format must information be to determine if it is covered? - ANSWER- any format -
electronic or paper
What is Information? - ANSWER- every piece of
information your entity has in its possession or
has access too.
What is Health Information? - ANSWER- any information, whether oral or recorded in
any form or medium, that is created or received by a health care provider, health plan,
public health authority, employer, life insurer, school or university, or health care
clearinghouse, and relates to the past, present, or future physical or mental health or
condition of an individual. This includes the provision of health care to an individual, or
the past, present, or future payment for the provision of health care to an individual.
What is Individually Identifiable Health Information
,(IIHI)? - ANSWER- information that is a subset
of health information, including demographic
information collected from an individual
that is created or received by a health care
provider, health plan, employer, or health care
clearinghouse, and relates to the past, present,
or future physical or mental health condition of
an individual, the provision of health care to an
individual, or the past, present, or future payment
or the provision of payment of health care to anindividual, and identifies the individual,
or has a reasonable basis that can be used to identify the individual
What is Protected Health Information (PHI)? - ANSWER- information that is transmitted
by electronic media, maintained in electronic media, or transmitted or maintained in any
other form or medium. PHI excludes IIHI in education records covered by the Family
Educational Rights and Privacy Act (FERPA)
What is Electronic Protected Health Information
(EPHI)? - ANSWER- is when IIHI is transmitted by electronic media or maintained in
electronic media.
Which of the following is NEVER acceptable to leave in a message on an answering
machine:
, a. The caller's name.
b. The minimum necessary information to request that the client return the phone call if
necessary.
c. Test results.
d. All of the answers. - ANSWER- c. Test results.
How does a patient learn about privacy under HIPAA?
a. He looks it up on the internet.
b. The government sent this out in the mail to every U.S. Citizen prior to April 14, 2003.
c. He asks his doctor or nurse.
d. At the patient' s first visit he or she is given the Provider's Notice of Privacy Practices,
and signs an acknowledgment that he or she has received a copy of it. - ANSWER- d.
At the patient' s first visit he or she is given the Provider's Notice of Privacy Practices,
and signs an acknowledgment that he or she has received a copy of it.
A co-worker is called away for a short errand and leaves the clinic PC logged onto the
confidential information system. You need to look up information using a computer.
Aside from notifying the appropriate person, what is the best approach you should take?
a. To save time, just continue working under your co-worker's User-ID.
b. Log you co-worker off and re-login under your own User-ID and password.
c. Do nothing.
d. All of the answers. - ANSWER- b. Log you co-worker off and re-login under your own
User-ID and password.